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General NPI Number Information
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NPI Number | 1508716192
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Entity Type | Organization
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Legal Business Name | DEVEREUX ADVANCED BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 2346 POST RD STE 103
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City | WARWICK
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State | RI
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Zip | 02886-2217
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Country | US
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Telephone | 401-734-9680
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Fax |
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Provider Business Mailing Address
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Address Line | 2346 POST RD STE 103
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City | WARWICK
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State | RI
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Zip | 02886-2217
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER, CONTRACTS
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Name | JESSICA KALBACH
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Credential |
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Telephone | 610-542-3042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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